Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already cover read-only, idempotent, and non-destructive behavior. The description adds meaningful behavioral guarantees: results are grouped by UTC day, limited to 31 days, and intentionally exclude appointment identifiers, times, and all clinical fields, which is not visible in the schema or annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.